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AHA Advanced Cardiovascular Life Support
(ACLS) Exam 2026/2027 | Complete Exam
Review | Practice Questions & Detailed Answer
Explanations | ACLS Certification Prep
1. Which of these tests should be performed for a patient with suspected stroke as soon as
possible but no more than 20 minutes after hospital arrival?
Noncontrast CT scan of the head
2. Which best describes this rhythm?
Monomorphic ventricular tachycardia
3. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Measure from the corner of the mouth to the angle of the mandible
You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The
CT scan was normal, with no signs of hemorrhage. The patient does not have any
contraindications to fibrinolytic therapy. Which treatment approach is best for this patient?
Give fibrinolytic therapy as soon as possible and consider endovascular therapy
5. Which is the recommended next step after a defibrillation attempt?
Resume CPR, starting with chest compressions
1
, .//.//.,…//////////./././././.;;;../.;.//;./.;./;.;.;/
6. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
Agonal gasps
7. You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm
Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths per minute, and his
pulse oximetry reading is 97%. Which assessment step is most important now?
Obtaining a 12-lead ECG
8. During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range?
At least 24 hours
9. Which type of atrioventricular block best describes this rhythm?
Second-degree atrioventricular block type I
10. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine
that he is unresponsive. Which is the next step in your assessment and management of this
patient?
Check the patient's breathing and pulse
Use this scenario to answer the next 6 questions:
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress
and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
2
AHA Advanced Cardiovascular Life Support
(ACLS) Exam 2026/2027 | Complete Exam
Review | Practice Questions & Detailed Answer
Explanations | ACLS Certification Prep
1. Which of these tests should be performed for a patient with suspected stroke as soon as
possible but no more than 20 minutes after hospital arrival?
Noncontrast CT scan of the head
2. Which best describes this rhythm?
Monomorphic ventricular tachycardia
3. Which is an acceptable method of selecting an appropriately sized oropharyngeal airway?
Measure from the corner of the mouth to the angle of the mandible
You are caring for a patient with a suspected stroke whose symptoms started 2 hours ago. The
CT scan was normal, with no signs of hemorrhage. The patient does not have any
contraindications to fibrinolytic therapy. Which treatment approach is best for this patient?
Give fibrinolytic therapy as soon as possible and consider endovascular therapy
5. Which is the recommended next step after a defibrillation attempt?
Resume CPR, starting with chest compressions
1
, .//.//.,…//////////./././././.;;;../.;.//;./.;./;.;.;/
6. Which of the following signs is a likely indicator of cardiac arrest in an unresponsive patient?
Agonal gasps
7. You are evaluating a 58-year-old man with chest discomfort. His blood pressure is 92/50 mm
Hg, his heart rate is 92/min, his nonlabored respiratory rate is 14 breaths per minute, and his
pulse oximetry reading is 97%. Which assessment step is most important now?
Obtaining a 12-lead ECG
8. During post-cardiac arrest care, which is the recommended duration of targeted temperature
management after reaching the correct temperature range?
At least 24 hours
9. Which type of atrioventricular block best describes this rhythm?
Second-degree atrioventricular block type I
10. Your rescue team arrives to find a 59-year-old man lying on the kitchen floor. You determine
that he is unresponsive. Which is the next step in your assessment and management of this
patient?
Check the patient's breathing and pulse
Use this scenario to answer the next 6 questions:
A 45-year-old man had coronary artery stents placed 2 days ago. Today, he is in severe distress
and is reporting "crushing" chest discomfort. He is pale, diaphoretic, and cool to the touch. His
2
